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Tawanda Tillery
NPI 1619794856 · on the registry since 2024
Practice
- Address
- 910 Jenkins Farm Rd
Pinetops, NC 27864 - Phone
- (252) 640-9194
- Organisation at this address
- Amazing Queens Group Home Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Sex
- Female
- Record last updated
- 2025-05-24
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina